Original Article

Integrating standardized patients into bioethics education for freshman nursing students

Abstract

Background & Aim: Bioethics education nourishes consciousness in bioethics and influences the attitude and perception of death. The purpose of this study was to investigate the effect of bioethics education by employing standardized patients for freshmen nursing students.
Methods & Materials: A quasi-experimental single group pretest-posttest design was used to assess the effect of bioethics education employing standardized patients on 33 freshman nursing students’ perception of dignified death and empathy who took the course of bioethics of a university.
Results: The perception of dignified death appeared higher in post-education than pre-education, and the subdomain of personal distress under empathy appeared higher in post-education than pre-education. In regard to the replies on the question of “disclosure of diagnosed cancer”, 54.6% of respondents approved, while 90.9% expressed “it should be at the discretion of doctors.”
Conclusion: bioethics education employing standardized patients appeared assisting students experiencing changes in perception of a dignified death. It may be useful in applying the teaching module for students with courses in bioethics.

1. Choe K, Kang Y, Lee WY. Bioethics education of nursing curriculum in Korea: A national study. Nursing Ethics. 2013 Jun;20(4):401-12. doi: 10.1177/0969733012466 003
2. Kalaitzidis E, Schmitz K. A study of an ethics education topic for undergraduate nursing students. Nurse education today. 2012 Jan 1;32(1):111-5.doi: 10.1016/j.nedt.2011.02.006
3. Lee Y, Kim Y. The difference of the death perception, death attitude and the awareness of biomedical ethics of nursing students according to the completion of bioethics education. Journal of the Korean Bioethics Association. 2017;18(2):95-109.
4. Cheon J, Coyle N, Wiegand DL, Welsh S. Ethical issues experienced by hospice and palliative nurses. Journal of Hospice & Palliative Nursing. 2015 Feb;17(1):7-13.
doi: 10.1097/NJH.0000000000000129
5. Park M, Je NJ. The difference of biomedical ethics consciousness, related knowledge, awareness, and attitude of nursing college students according to the completion of biomedical ethics education. Journal of the Korea Academia-Industrial Cooperation Society. 2018;19(11):137-47.
doi: 10.5762/KAIS.2018.19.11.137
6. Park MO, Yun H. Nurses’ experience dealing with ethical dilemma in intensive care unit. Asia-
pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology. 2016; 6(87): 81-93. doi: 10.14257/AJMAHS. 2016.08.36
7 Jeon HS. Consciousness of biomedical ethics in nursing students and non-nursing students. Journal of Korean Academy of Fundamental Nursing. 2011;18(3):401-10.
8 Wang L, Li C, Zhang Q, Li YJ. Clinical nurses' attitudes toward death and caring for dying patients in China. International Journal of Palliative Nursing. 2018 Jan 2;24(1):33-9.
doi: 10.12968/ijpn.2018.24.1.33
9. Henoch I, Melin-Johansson C, Bergh I, Strang S, Ek K, Hammarhund K, Hagelin CL, Westin l, Osterlind J, Browall, M. Undergraduate nursing students' attitudes and preparedness toward caring for dying persons: a longitudinal study. Nurse Education in Practice. 2017 Sep;26:12-20.
doi: 10.1016/j.nepr.2017.06.007
10. Chung BR, Cho YH. The meaning of dignified with death. Korean Journal of Hospice Palliative Care. 2017;20(2):100-110. doi: 10.14475/kjhpc.2017.20.2.100
11. Hojat M, Louis DZ, Maio V, Gonnella JS. Empathy and health care quality. American Journal of Medical Quality. 2013;28(1): 6-7. doi: 10.1177/1062860612464731
12. Yeo HJ. Predictors of empathy for nursing students. Korea Academy of Industrial Cooperation Society. 2017;18(1):177-84. doi: 10.5862/KAJS.2017.18.1.177
13. Kim EH, Lee YJ. Relationship of life respect consciousness, empathy, resilience and biomedical ethics awareness in nursing students. Journal of Health Informatics and Statistics. 2019; 44(3):308-315. doi: 10.21032/jhis.2019.44.3.308
14. Branch WT. The ethics of caring and medical education. Academic Medicine 2000 Feb;75(2):127-132. doi: 10.1097/00001888-200002000-00006
15. Reynolds W, Scott PA, Austin W. Nursing, empathy and perception of the moral. Journal of Advanced Nursing. 2000 Jul;32(1):234-42. doi: 10.1046/j.1365-2648.2000. 01440.x
16. Park J, Yang S, Choi SE, Choi KM, Hong YS, Lee KS. The disclosure of cancer diagnosis and its prognosis. Korean Journal of Hospice Palliative Care. 2004;7(2):169-78.
17. Cook DA, Hatala R, Brydges R, Zendejas B, Szostek JH, Wang AT, Erwin PJ, Hamstra SJ. Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. Journal of American Medical Association. 2011 Sep 7;306(9):978-88.
doi: 10.1001/jama.2011.1234
18. Ganon J, Motycka C, Egelubd E, Kraemer DF, Smith WT, Solomon K. Teaching end-of-life care using interprofessional simulation. Journal of Nurse Education. 2017 Apr 1;56(4):205-10.
doi: 10.3928/01484834-20170323-03
19. Lee KC, Yu CC, Hsieh PL, Li CC, Chao YFC. Situated teaching improves empathy learning of the students in a BSN program: a quasi-experimental study. Nurse Education Today. 2018;64:138-43. doi: 10.1016/j.medt.2018.02.013
20. Kiluk JV. Teaching medical students how to break bad news with standardized patients. Journal of Cancer Education. 2012 Jun;27(2):277-80. doi: 10.1007/s13187-012-0312-9.
21. Eid A, Petty M, Hutchins L, Thompson R. “Breaking bad news”: Standardized patient intervention improves communication skills of hematology-oncology fellows and advanced practice nurses. Journal of Cancer Education. 2009; 24(2):154-9. doi: 10.1080/ 08858190902854848
22. Jeong HS. Recognition towards good death among physicians and nurses in an area [master’s thesis]. Busan: Pusan Catholic University;2010.
23. Schwartz C, Mazor K, Rogers J, Ma Y, Reed G. Validation of a new measure of concept of a good death. Journal of Palliative Medicine. 2003 Aug;6(4):575-84.
doi: 10.1089/109662103768253687
24. Polit DF, Beck CT, Owen SV. Is the CVI an acceptable indicator of content validity? apraisal and recommendations. Research in Nursing & Health. 2007;30(4):459-467. doi: 10.1002.nur. 20199
25. Kang I, Kee S, Kim SE, Jeong B, Hwang JH, Song JE, Kim JW. Reliability and validity of the
Korean-version of interpersonal reactivity index. Journal of Korean Neuropsychiatric Association. 2009;48(5):352-8.
26. Davis MH. A multidimensional approach to individual differences in empathy. JSAS Catalog of Selected Documents Psychology. 1980;10:85.
27. Kim YM. Disclosure preference for cancer diagnosis among cancer patients, physicians, and nurses [master‘s thesis]. Seoul: Seoul National University;2018.
28. Abazari P, Taleghani F, Hematti S, Ehsani M. Exploring perceptions and preferences of patients, families, physicians, and nurses regarding cancer disclosure: a descriptive qualitative study. Supportive Care in Cancer. 2016 Nov 1;24(11):4651-9. doi: 10.1007/ s00520-016-3308-x
29. Chun IH, Park K. Patient’s cognition toward the disclosure of cancer disclosure. Asian Oncology Nursing. 2013;6:59-66. doi: 10.5388 /aon.2013.13.2.59
30. Abbaszadeh A, Ehsani SR, Begjani J, Kaji MA, Dopolani FN, Nejati A, Mohammadnejad E. Nurses’ perspectives on breaking bad news to patients and their families: A qualitative content analysis. Journal of Medical Ethics History of Medicine. 2014 Nov 12;7:18.
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IssueVol 8 No 1 (2021): Winter QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/npt.v8i1.4495
Keywords
bioethics; nursing students; empathy; attitude to death; ethics education
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How to Cite
1.
Cho O-H, Hwang K-H. Integrating standardized patients into bioethics education for freshman nursing students. NPT. 2020;8(1):40-50.